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7690 Highway 72 W Suite 101 Madison AL 35758-9592 | |
| (256) 864-2739 | |
| (256) 890-5215 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7690 Highway 72 W, Madison, Alabama |
| Authorized Official Name and Position | Patrick Mitchell English (OWNER) |
| Authorized Official Contact | 2568642739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
22773 Pin Oak Dr Athens AL 35613-5994 Ph: (256) 864-2739 | 7690 Highway 72 W Suite 101 Madison AL 35758-9592 Ph: (256) 864-2739 |
| NPI Number | 1841697810 |
|---|---|
| Provider Enumeration Date | 11/19/2014 |
| Last Update Date | 11/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841697810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4779 (Alabama) | Primary |
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